中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
1期
104-105
,共2页
陈姚清%李多%郑俊兰%李国平
陳姚清%李多%鄭俊蘭%李國平
진요청%리다%정준란%리국평
复发性多软骨炎%气道狭窄%诊断%治疗
複髮性多軟骨炎%氣道狹窄%診斷%治療
복발성다연골염%기도협착%진단%치료
Relapsing polychondritis%Airway stenosis%Diagnosis%Treatment
目的 探讨复发性多软骨炎致气道狭窄的诊断及治疗方法.方法 报道2例累及气道的复发性多软骨炎患者的临床资料,总结其诊断和治疗经验,并进行相关文献复习.结果 2例患者均为老年男性,临床表现均有咳嗽、呼吸困难、耳廓萎缩和鼻梁塌陷,在基层医院均被误诊;肺功能示阻塞性通气功能障碍,胸部CT示气管主支气管管壁增厚、管腔变窄,可弯曲支气管镜检查示气管支气管软骨消失、管腔狭窄、呼气相部分气道陷闭,病理检查为慢性炎症;2例患者均予以糖皮质激素和气道金属支架置入治疗后病情改善.结论 复发性多软骨炎致气道狭窄患者容易误诊,胸部CT和可弯曲支气管镜能明确诊断,糖皮质激素联合气道内支架置入等治疗能改善患者病情.
目的 探討複髮性多軟骨炎緻氣道狹窄的診斷及治療方法.方法 報道2例纍及氣道的複髮性多軟骨炎患者的臨床資料,總結其診斷和治療經驗,併進行相關文獻複習.結果 2例患者均為老年男性,臨床錶現均有咳嗽、呼吸睏難、耳廓萎縮和鼻樑塌陷,在基層醫院均被誤診;肺功能示阻塞性通氣功能障礙,胸部CT示氣管主支氣管管壁增厚、管腔變窄,可彎麯支氣管鏡檢查示氣管支氣管軟骨消失、管腔狹窄、呼氣相部分氣道陷閉,病理檢查為慢性炎癥;2例患者均予以糖皮質激素和氣道金屬支架置入治療後病情改善.結論 複髮性多軟骨炎緻氣道狹窄患者容易誤診,胸部CT和可彎麯支氣管鏡能明確診斷,糖皮質激素聯閤氣道內支架置入等治療能改善患者病情.
목적 탐토복발성다연골염치기도협착적진단급치료방법.방법 보도2례루급기도적복발성다연골염환자적림상자료,총결기진단화치료경험,병진행상관문헌복습.결과 2례환자균위노년남성,림상표현균유해수、호흡곤난、이곽위축화비량탑함,재기층의원균피오진;폐공능시조새성통기공능장애,흉부CT시기관주지기관관벽증후、관강변착,가만곡지기관경검사시기관지기관연골소실、관강협착、호기상부분기도함폐,병리검사위만성염증;2례환자균여이당피질격소화기도금속지가치입치료후병정개선.결론 복발성다연골염치기도협착환자용역오진,흉부CT화가만곡지기관경능명학진단,당피질격소연합기도내지가치입등치료능개선환자병정.
Objective To explore the diagnosis and treatment of airway stenosis reduced by relapsing polychondritis (RP)Methods The clinical data of 2 patients with relapsing polychondritis involving the airway were reported and the relative literatures were also reviewed.Results The two patients were both old male,with clinical manifestations of cough,dyspnea,and ear atrophy and nose bridge sink.They were misdiagnosed in a grass-roots hospital.The pulmonary function tests showed obstructive ventilatory disorder.Thoracic CT scan demonstrated a diffusely thickened tracheobronchial wall with tracheobronchial stenosis.Bronchoscopy revealed disappearance of tracheobronchi with airway stenosis and partly obliteration of both the trachea and main bronchi on expiration.Pathological results were chronic inflammation.They were relieved by medication of corticosteroids and metallic stent placement.Conclusion The relapsing polychondritis with airway stenosis is easy to be misdiagnosed.Thoracic CT and flexible bronchoscopy can be used for a definite diagnosis.And corticosteroids plus metallic stent placement in airway can relieve dyspnea and improve the condition of the patients.
